Individual provider Active NPI

Joel McIntosh, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1861819674
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018049 Issued in PA
Practice address
2940 N 5TH St
Philadelphia, PA 19133-2801
Phone
(215) 221-6633
NPI assigned
Mar 19, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018049 PA Primary

Addresses

Primary practice location

2940 N 5TH St
Philadelphia, PA 19133-2801

Mailing address

2940 N 5TH St
Philadelphia, PA 19133-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140623000047 PA Practitioner - Clinical Social Worker 7315161965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 W Allegheny Ave
BLDG 3
Philadelphia, PA 19133-3614

400 W Allegheny Ave BLDG
3 Maria de Los Santos Express Care
Philadelphia, PA 19133-3614
Phone (215) 546-7501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Community Health, Inc. CurrentSince May 1, 2022 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince May 1, 2022 Accepting new patients
Delaware Valley Community Health, Inc. Current Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients

Locations

1401 DeKalb St
Norristown, PA 19401
Phone (610) 275-9400

1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600

400 W Allegheny Ave
Bldg 3
Philadelphia, PA 19133
Phone (215) 546-7501

400 W Allegheny Ave
Ste B5
Philadelphia, PA 19133
Phone (215) 207-0522

841 E Hunting Park Ave
Ste 201
Philadelphia, PA 19124
Phone (215) 537-7695

Interoperability endpoints

  • Direct secure messaging: joel.mcintoshlcsw.p1@direct.dvch.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1861819674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332801",
            "telephone_number": "215-221-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JOEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.